Daily Meal Production Record For Infants
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1Texas Department of
Form H1530-A
Agriculture
September 2007
Daily Meal Production Record for Infants
(Child Care Centers, Emergency Shelters, and Day Care Homes)
Name of Contracting Organization
Name of Facility
Program (TX) No.
Date
TX —
Note: Infant cereal and infant formula must be iron-fortified.
Age
Planned
Required Food Components
Menu
Quantity Used
Group
Participation
Breakfast
Breakfast
4-6 Ounces Infant Formula or Breast Milk
Lunch
Lunch and/or Supper
4-6 Ounces Infant Formula or Breast Milk
Supper
Birth thru
Three
A.M.
Months
P.M.
Supplement
4-6 Ounces Infant Formula or Breast Milk
Evening
Breakfast
Breakfast
4-8 Ounces Infant Formula or Breast Milk
0-3 Tbsp. Infant Cereal (optional)
Lunch
Lunch and/or Supper
4-8 Ounces Infant Formula or Breast Milk
0-3 Tbsp. Infant Cereal (optional)
Supper
Four thru
0-3 Tbsp. Fruit and/or Vegetable (optional)
Seven
Months
A.M.
P.M.
Supplement
4-6 Ounces Infant Formula or Breast Milk
Evening
Breakfast
Breakfast
6-8 Ounces Infant Formula or Breast Milk
2-4 Tbsp. Infant Cereal
1-4 Tbsp. Fruit and/or Vegetable
Lunch
Lunch and/or Supper
6-8 Ounces Infant Formula or Breast Milk
and
2-4 Tbsp. Infant Cereal
and/or
1-4 Tbsp. Meat, Fish, Poultry, Egg Yolk,
Eight thru
Supper
or Cooked Dry Beans or Peas
Eleven
or
Months
½-2 oz. Cheese or 1-4 oz. Cottage Cheese,
Cheese Food, or Cheese Spread
and
1-4 Tbsp. Fruit and/or Vegetable
A.M.
Supplement
2-4 Ounces Infant Formula, Breast Milk,
P.M.
or Fruit Juice
0–½ Crusty Bread or 0-2 Crackers
Evening
(optional)
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